Which cases of in-toeing require referral?
Primary care physicians can manage the vast majority of children with in-toeing disorders. Only a few require casting or surgery, but be careful because about 15% actually have another diagnosis,...
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Spina bifida: Top 10 things for physicians to know
This morning your first patient is a pregnant woman you have never met. She is 28 weeks pregnant and will be having a child with spina bifida. She is anxiously looking forward to a term delivery and...
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More pearls from the trenches
In my many years as a pediatrician, I have identified a number of “pearls,” or words of wisdom, that can help in the clinical setting. Some of these pearls are practical, but relatively little known,...
View ArticleORTHOPEDICS: More hip dysplasia questions than answers
Part of Contemporary Pediatrics’ coverage of the 2015 AAP Annual Conference. For more coverage, click here. With heated debate surrounding the very definition of developmental dysplasia of the hip...
View ArticleLimp raises suspicion for juvenile arthritis
There are a number of entities to consider in the differential diagnosis when a child presents with a limp, including autoimmune diseases, musculoskeletal disorders, infection, and cancer. From the...
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How bundled payments really do work
Participation in bundled payments seemed to be a “win-win-win-win”— meaning, a win for CMS, a win for patients, a win for the hospital, and a win for physicians, according to a new study published in...
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Will Trump administration welcome CMS’ mandatory cardiac bundle?
CMS has announced a new rule affecting Medicare fee-for-service beneficiaries receiving services during three common conditions/procedures: acute myocardial infarction, coronary artery bypass graft,...
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Developmental dysplasia of the hip
Developmental dysplasia of the hip (DDH) refers to a spectrum of abnormalities that range in severity from mild instability to frank dislocation. The vast majority of clinical and anatomic hip...
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Three ways integration focuses on customers
“Integration” is a frequently used buzzword in healthcare. I come across it everywhere, from casual talks with colleagues to major research studies. Many agree that integration is a path to improve...
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7 lower limb positional variations
Although many issues related to walking are benign, early recognition of these classic clinical presentations is essential for initiating further workup when indicated.“Is it normal for my child to...
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